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DIANA SEAOK KIM MD
NPI 1457110785
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 18, 2024PECOS Enrolled
801 MASSACHUSETTS AVE FL 4, BOSTON, MA 02118(617) 638-8540 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Seaok Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA SEAOK KIM MD (NPI 1457110785) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457110785
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANA SEAOK KIMCredential: MD
Location Address801 MASSACHUSETTS AVE FL 4Boston, MA 02118-2605
Mailing Address801 Massachusetts Ave Fl 4Boston, MA 02118-2605 · (617) 638-8540
Phone(617) 638-8540
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1457110785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
801 MASSACHUSETTS AVE FL 4, Boston, MA 02118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Seaok Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY MICHELLE NELSON PHD, MPH
Psychologist
801 MASSACHUSETTS AVE FL 4
BOSTON, MA 02118
Suffolk County (415) 271-9111
RAYAH TOUMA SAWAYA MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 414-4238
SALINA TESFAY
Family Medicine
801 MASSACHUSETTS AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 414-4565
LAURY ANNE ELIZABETH JEAN-PAUL MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 4
BOSTON, MA 02118
Suffolk County (617) 638-8540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Kim's NPI number?

The NPI number for Diana Kim is 1457110785. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Diana Kim located?

Diana Kim practices at 801 Massachusetts Ave Fl 4, Boston, MA 02118. The listed phone number is (617) 638-8540.

What is Diana Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Diana Kim enrolled in Medicare?

Yes. Diana Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Kim was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.